These medical and mental health resources include clinical guidelines and educational information that can help your patients—our members—to manage their care.
Medical
Preventive and primary care
| Resource | Source | |
|---|---|---|
Clinical guidelines:
|
Massachusetts Health Quality Partners (MHQP) | |
| Vaccine Resources | Blue Cross Blue Shield of Massachusetts | |
| Vaccine guidance | Massachusetts Department of Public Health | |
| Smoking cessation: Massachusetts Tobacco Cessation and Prevention Program or 1-800-QUIT-NOW Smoking cessation programs are available to all members at no cost |
For your convenience, we created preventive care reminder letters your office can use as templates.
Osteoporosis
| Resource | Source |
|---|---|
| STEADI Program STEADI provides training, tools, and resources for health care providers to help prevent falls and help their patients stay healthy, active, and independent longer. |
Centers for Disease Control and Prevention (CDC) |
Pain management/opioids
See also the Alcohol and Substance Use section below.
| Resource | Source |
|---|---|
| AGS Beers Criteria® for Potentially Inappropriate Medication Use in Older Adults | The American Geriatrics Society (AGS) |
| Pocket Guide: Tapering Opioids for Chronic Pain | Centers for Disease Control and Prevention (CDC) |
| Managing Chronic Pain in Adults With or in Recovery From Substance Use Disorders | Substance Abuse and Mental Health Services Administration |
|
View our formularies for coverage information. |
Blue Cross Blue Shield of Massachusetts |
| Our Substance Use Disorder Resource Center | |
|
Search our medical policies for opioid medication management, drug management, drug testing, Transcutaneous Electrical Nerve Stimulation (TENS), and complementary medicine. |
|
| Pharmacy information |
Mental health
Alcohol and substance use
| Resource | Source |
|---|---|
| Clinical practice guidelines | American Psychiatric Association |
| Opioid Use Disorder advisories, reports, and guidelines | Substance Abuse and Mental Health Services Administration |
| Our Substance Use Disorder Resource Center | Blue Cross Blue Shield of Massachusetts |
Attention deficit hyperactivity disorder (ADHD)
| Resource | Source |
|---|---|
| ADHD Resource Center | American Academy of Child and Adolescent Psychiatry |
| Attention-Deficit/Hyperactivity Disorder | National Institute of Mental Health (NIMH) |
| Pediatric Symptom Checklist (PSC) The Pediatric Symptom Checklist is a brief screening questionnaire used by pediatricians and other health professionals to recognize psychosocial problems and improve treatment in children. |
Massachusetts General Hospital |
Depression
| Resource | Source |
|---|---|
| Clinical practice guidelines | American Psychiatric Association |
Postpartum depression
| Resource | Source |
|---|---|
| Patient screening and scoring tools, including the Edinburgh Postnatal Depression Scale (EPDS). | American College of Obstetricians and Gynecologists |
Educational resources for members
- Bluecrossma.org offers our members resources for everyday wellness and certain conditions, like substance use disorder, asthma, and pregnancy.
- Fepblue.org offers Federal Employee Program members wellness resources and health tools.
Clinical practice guidelines referenced on this site are intended as a guide for treatment and do not represent a standard of care for a member with a specific disorder. The guidelines are not a substitute for individualized assessment and treatment planning, and services recommended under the guidelines will not always be determined to be medically necessary. Claim payment decisions are based on the member's benefits, eligibility, coverage, and benefit limitations at the time the service is being performed.
